Home Care Residential, Llc - Mental Health Clinic in Portland, ME

Home Care Residential, Llc is a mental health clinic (Residential Treatment Facility, Intellectual And/or Developmental Disabilities) in Portland, Maine. The current practice location for Home Care Residential, Llc is 58 Boyd St Apt 501, Portland, Maine. For appointments, you can reach them via phone at (202) 413-2649. The mailing address for Home Care Residential, Llc is 58 Boyd St Apt 501, Portland, Maine and phone number is (202) 413-2649.

Home Care Residential, Llc is licensed to practice in * (Not Available) (license number ) and its NPI number is 1669251799. This medical practice does not participate in medicare program and thus may not accept your medicare insurance. You may check if they accept your insurance at (202) 413-2649.

Contact Information

Home Care Residential, Llc
58 Boyd St Apt 501
Portland
ME 04101-7127
(202) 413-2649
Not Available

Mental Health Clinic Profile

Full NameHome Care Residential, Llc
SpecialityResidential Treatment Facility, Intellectual And/or Developmental Disabilities
Location58 Boyd St Apt 501, Portland, Maine
Authorized Official Name and PositionGerard Bizimana (DIRECTOR)
Authorized Official Contact2024132649
Accepts Medicare InsuranceThis clinic does not participate in Medicare Program.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Home Care Residential, Llc
58 Boyd St Apt 501
Portland
ME 04101-7127

Ph: (202) 413-2649
Home Care Residential, Llc
58 Boyd St Apt 501
Portland
ME 04101-7127

Ph: (202) 413-2649

NPI Details:

NPI Number1669251799
Provider Enumeration Date09/27/2023
Last Update Date09/27/2023
Certification Date09/27/2023

Medical Identifiers

Medical identifiers for Home Care Residential, Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1669251799NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103TM1800XPsychologist - Intellectual & Developmental Disabilities (* (Not Available))Secondary
320600000XResidential Treatment Facility, Intellectual And/or Developmental Disabilities (* (Not Available))Primary

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Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Portland, ME

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